TY - JOUR
KW - Alcoholism/diagnosis/psychology
KW - Ambulatory Care/methods
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Primary Health Care/methods
KW - Risk Factors
KW - Substance Abuse Detection/methods
KW - User-Computer Interface
KW - Voice
AU - G. L. Rose
AU - J. M. Skelly
AU - G. J. Badger
AU - C. D. MacLean
AU - M. P. Malgeri
AU - J. E. Helzer
A1 - 
AB - OBJECTIVE: Screening for alcohol misuse in primary care settings is strongly recommended but grossly underused. Using interactive voice response (IVR), we developed an automated screening tool (IVR Screen) for identifying alcohol misuse in outpatient primary care offices and evaluated its use rate and acceptability for both patients and providers. METHOD: Patients (N = 101) presenting to a primary care clinic for scheduled, nonemergent health care visits called the IVR Screen by using a dedicated telephone in the waiting room and answered five questions about their health. Results were printed immediately for patient and provider to review during the visit. Medical assistants interviewed patients about the IVR Screen in the examination room. RESULTS: Ninety-six percent of patients who were invited to participate in the study consented to do so. Of those, 26% met criteria for alcohol misuse. Feedback from patients and providers was positive and included constructive suggestions for revisions to the IVR Screen for future use. CONCLUSIONS: IVR-based screening for at-risk drinking was feasible and did not interfere with the provider-patient interaction. The proportion of heavy drinkers identified by the IVR Screen was comparable to that of published reports of screening with written questionnaires. Implications for behavioral health screening, treatment, and clinical research are considerable because IVR-based screening assessments can be customized and targeted to different populations. Results suggest that continued development of IVR as a tool for health and alcohol screening in primary care settings is warranted.
BT - Journal of studies on alcohol and drugs
C5 - HIT & Telehealth
CP - 5
CY - United States
IS - 5
JF - Journal of studies on alcohol and drugs
N2 - OBJECTIVE: Screening for alcohol misuse in primary care settings is strongly recommended but grossly underused. Using interactive voice response (IVR), we developed an automated screening tool (IVR Screen) for identifying alcohol misuse in outpatient primary care offices and evaluated its use rate and acceptability for both patients and providers. METHOD: Patients (N = 101) presenting to a primary care clinic for scheduled, nonemergent health care visits called the IVR Screen by using a dedicated telephone in the waiting room and answered five questions about their health. Results were printed immediately for patient and provider to review during the visit. Medical assistants interviewed patients about the IVR Screen in the examination room. RESULTS: Ninety-six percent of patients who were invited to participate in the study consented to do so. Of those, 26% met criteria for alcohol misuse. Feedback from patients and providers was positive and included constructive suggestions for revisions to the IVR Screen for future use. CONCLUSIONS: IVR-based screening for at-risk drinking was feasible and did not interfere with the provider-patient interaction. The proportion of heavy drinkers identified by the IVR Screen was comparable to that of published reports of screening with written questionnaires. Implications for behavioral health screening, treatment, and clinical research are considerable because IVR-based screening assessments can be customized and targeted to different populations. Results suggest that continued development of IVR as a tool for health and alcohol screening in primary care settings is warranted.
PP - United States
PY - 2010
SN - 1938-4114; 1937-1888
SP - 734
EP - 738
EP - 
T1 - Automated screening for at-risk drinking in a primary care office using interactive voice response
T2 - Journal of studies on alcohol and drugs
TI - Automated screening for at-risk drinking in a primary care office using interactive voice response
U1 - HIT & Telehealth
U2 - 20731979
VL - 71
VO - 1938-4114; 1937-1888
Y1 - 2010
ER -